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Acoustic effects of positive end-expiratory pressure on normal lung sounds in mechanically ventilated pigs.

Abstract：

:Computerized lung sounds analysis offers a new technique to monitor regional ventilation during spontaneous breathing. The purpose of the present study was to assess the acoustic behaviour of the respiratory system in healthy pigs during mechanical ventilation when a positive end-expiratory pressure (PEEP) is applied. Lung sounds were recorded during mechanical ventilation and different PEEP levels of 0, 5, 10, 15 and 20 cm H(2)O were applied. The increase in end-expiratory lung volume (EELV) related to the PEEP application was also measured and the correlation between changes in EELV (DeltaEELV) and sound amplitude (DeltaA) was examined. The amplitude of normal lung sounds was reduced by application of PEEP >or=10 cm H(2)O (P<0.05). The increase in PEEP from 0 to 20 cm H(2)O reduced the acoustic energy of lung sounds recorded at ZEEP by 0.3 dB (PEEP 5), 2 dB (PEEP 10), 5 dB (PEEP 15) and 7 dB (PEEP 20), which corresponds to 1%, 6%, 14% and 21% in acoustic attenuation, respectively. The variations in DeltaA correlated with changes in lung volume (P<0.05) and with changes in compliance of the respiratory system (P<0.05), but were not correlated with changes of the resistance of respiratory system. The frequency analysis showed a downward shifting of the spectra at frequencies between 150 and 600 Hz for PEEP levels >or=10 cm H(2)O and frequencies between 75 and 600 Hz for PEEP levels >or=15 cm H(2)O. The application of increasing levels of PEEP reduced the amplitude and changed the spectral characteristics of normal lung sounds.

journal_name

Clin Physiol Funct Imaging

journal_title

Clinical physiology and functional imaging

authors

Vena A,Perchiazzi G,Giuliani R,Fiore T,Hedenstierna G

doi

10.1111/j.1475-097X.2005.00652.x

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

45-53

issue

1

eissn

1475-0961

issn

1475-097X

pii

CPF652

journal_volume

26

pub_type

杂志文章

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